Patient forms and Helpful Links

If you are a first-time visitor to West Houston Internal Medicine Associates, you will need to complete a Health Questionnaire, Medical History form before you can see a doctor. To review this form and complete it in advance, simply click on the link below for “Health Questionnaire” and print the form.

Health Forms:

	Patient Information
	Authorization for Use and Disclosure of Protected Health Information
	Health History
	Authorization For User and Disclosure of Protected Health Information
	Office Policies
	Authorization for Release of Medical Records & Information

HELPFUL LINKS TO OTHER SITES

American Cancer Society (ACS)

American Diabetes Association (ADA)

American Heart Association

American Society of Hypertension

Asthma
Comprehensive information about Asthma is provided through the National Institute of Health.

Center for Disease Control and Prevention (CDC)
This site was developed by the US department of Health and Human Services. It offers information, Web sites, support and self-help groups.

Healthfinder
This site was developed by the US department of Health and Human Services. It offers information, Web sites, support and self-help groups.